Mathis Stéphane, Boissonnot Michèle, Tasu Jean-Pierre, Simonet Charles, Ciron Jonathan, Neau Jean-Philippe
From the Department of Neurology (SM, JC, J-PN); Department of Ophtalmology (MB); and Department of Radiology, CHU Poitiers, University of Poitiers, 2 rue de la Milétrie, Poitiers, France (J-PT, CS).
Medicine (Baltimore). 2016 Jan;95(1):e2359. doi: 10.1097/MD.0000000000002359.
Intracranial silicone oil is a rare complication of intraocular endotamponade with silicone oil. We describe a case of intraventricular silicone oil fortuitously observed 38 months after an intraocular tamponade for a complicated retinal detachment in an 82 year-old woman admitted in the Department of Neurology for a stroke. We confirm the migration of silicone oil along the optic nerve. We discuss this rare entity with a review of the few other cases reported in the medical literature. Intraventricular migration of silicone oil after intraocular endotamponade is usually asymptomatic but have to be known of the neurologists and the radiologists because of its differential diagnosis that are intraventricular hemorrhage and tumor.
颅内硅油是眼内硅油填充罕见的并发症。我们描述了一例82岁女性患者,因复杂性视网膜脱离行眼内填充术后38个月偶然发现脑室内硅油的病例。该患者因中风入住神经内科。我们证实了硅油沿视神经迁移。我们结合医学文献中报道的其他少数病例对这一罕见情况进行了讨论。眼内填充术后硅油脑室内迁移通常无症状,但由于其鉴别诊断包括脑室内出血和肿瘤,神经科医生和放射科医生必须对此有所了解。